Boston Primary Care Physicians
Your Primary Care Partners
Take back control of your medical care, by working directly with your Primary Care Physician in Boston without insurance impeding the healthcare and wellness services you deserve.
Boston Direct Health still works in conjunction with your health insurance. The difference is we don’t bill health insurance for your care visits. There are no surprise bills from our medical practice, no co-payments, and no need to worry about deductibles.
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Primary care Procedures
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EKG
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Breathing treatments for asthma attacks or bronchitis
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Cortisone shots in the knees, shoulders and other joints
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Stitches
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Removal of skin tags, sebaceous cysts, and lipomas
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Destruction of skin tags and warts with liquid nitrogen
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Removal of excess ear wax
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Treating ingrown toenails and infections of the nailbeds
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Draining abscesses
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Rapid Strep and Flu testing
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Flu and Tetanus vaccines are provided for free (other vaccines are provided at cost).
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Skin biopsies for unusual rashes and lesions concerning for skin cancer, while utilizing artificial intelligence through SkinIO to aid in skin cancer screening
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Trigger point injections
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Body composition testing
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Antibiotics for treatment of STDs and STIs.
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Discounted rates for blood work, heart rate monitoring (Holter monitoring), and bone density screening.
Additional Health Care Services
As part of our primary care services, we provide the following additional health care support.
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Preventative care
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Working with athletes
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Cardiometabolic management
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Mental health
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Hormone management, whether thyroid disorders, low testosterone, menopause to name a few.
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Advocating on behalf of patients through our complex medical system
Advanced Healthcare for Athletes
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Musculoskeletal evaluation of the full kinetic chain, not just referred to a specialist or given a pill for the problem.
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Identifying the underlying joint problem after an injury and how to modify physical activity to allow for healing.
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Access to cortisone injections when appropriate and utilizing a patient’s own growth factors to aid in healing of tendon and joint related injuries.
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With our patients’ written consents, we communicate with their personal trainers, chiropractors, acupuncturists, physical therapists and other professionals knowing that often people need a team to treat an athlete.
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An amazing network of Boston’s best Trainers, Acupuncturists and Chiropractors that we refer our patients to to ensure they achieve their best athletic performance.
Cardiometabolic Management
Mental Health Monitoring
Access to mental health providers is challenging. We do not have psychiatrists on staff nor mental health counselors. However, we do work closely with our patients in the management of anxiety and depression, including management of mental health medications.
No Judgment, Complete Care
Sexual Practices:
We provide simplified access to HIV screening and STD screening and we are able to get patients into the office for screening often on the same day as requested. We have the ability to treat patients if any test results come back as positive. View all sexual health services from Boston Direct Health.
Boston Primary Care FAQs
What Insurances do you take?
What type of patients do you treat?
Are you accepting new patients for Primary Care?
Can I use my flex spending account FSA funds or my health savings accounts HSA funds towards my monthly membership fee?
Does my membership fee qualify as a tax deduction?
Comprehensive Primary Care in Boston
We ensure every patient has an in-depth understanding of what is going on with their body. Boston physician Dr. Steven Zivich and staff will carefully explain your laboratory findings and imaging findings in understandable terms and provide treatment plans to help you achieve optimal health.
We provide patients with the opportunity to develop an intimate, long-term relationship with their Primary Care Provider (PCP) so that in the event of a dire medical condition, you have someone in your corner that you trust and that you can reach out to. A team of highly-experienced and caring medical professionals that will help explain what’s going on, what the next steps should be, and what options there are with any difficult medical decisions. If you reside in the Boston area, and want to experience a better healthcare process, call 617-304-1965 today to schedule your initial consultation.
BDH Patient Agreement
BDH Patient Agreement Addendum
How Does Functional Medicine Work? The Importance of Holistic Medicine
Principles of Functional Medicine

One Condition, Many Causes. One Cause, Many Conditions.
Gastrointestinal Disorders Boston, MA
ABOUT GASTROINTESTINAL DISORDERS
Gastrointestinal disorders are conditions that impact the digestive system or GI tract. A few of the most common types of GI disorders include leaky gut syndrome, lactose intolerance, food sensitivities, microbiome management, and nutritional assessment. Symptoms of digestive disorders generally include abdominal pain, bloating, nausea, vomiting, diarrhea, constipation, loss of appetite, and unintentional weight loss. GI disorders can be caused by a number of factors, including genetics, age, eating a low fiber diet, inactive lifestyle, and stress. If you suspect a GI disorder is the cause of your health problems, do not hesitate to call our office at 610-304-1965 for assistance today. Family physician Dr. Steven Zivich can assess your concerns and build a personalized treatment plan that suits your needs.
DIAGNOSIS AND TREATMENT OF GI DISORDERS
MANAGE YOUR GUT HEALTH
Dysbiosis Boston, MA
WHAT IS DYSBIOSIS?
Dysbiosis is a condition that develops when the healthy bacteria (microbiota) in your digestive tract becomes imbalanced. Our GI tract consists of over 400 species of microbiota, which help fight off foreign microorganisms, assist in digestion, and help our bodies absorb essential nutrients and vitamins from our food. When our gut bacteria levels are out of wack, it can lead to a wide range of gastrointestinal issues, like diarrhea, constipation, gas, bloating, and more. Dysbiosis can be brought on by an unbalanced diet, certain medications, stress, poor dental hygiene, and excessive alcohol consumption. At Boston Direct Health, Steven Zivich, M.D. will work with you to help optimize your microbiome for optimal gut health. Do not hesitate to call our office at 610-304-1965 for directions or assistance.
HOW IS DYSBIOSIS TREATED?
DYSBIOSIS FAQ
Yes, it can. Research studies have found that microbial dysbiosis can be linked to several diseases and conditions, including heart disease, IBS (irritable bowel syndrome), Crohn’s disease, ulcerative colitis, obesity, autism, and more.
Although precise numbers of patients with dysbiosis are difficult to quantify, because of the link between dysbiosis and so many conditions, researchers believe it is very common.
The most common signs and symptoms of dysbiosis are usually digestive issues, including stomach or intestinal discomfort, chronic gas and bloating, cramping, diarrhea, and constipation.
Treating dysbiosis can encompass a number of approaches, including lifestyle and diet changes, exercising caution when using antibiotics, reducing alcohol consumption, practicing good oral hygiene, and more.
BALANCE YOUR MICROBIOME BOSTON, MA
Chronic Fatigue Boston, MA
WHAT IS CHRONIC FATIGUE?
HOW TO TREAT CHRONIC FATIGUE
CHRONIC FATIGUE SYNDROME FAQ
Studies have estimated that as many as 2.5 million U.S. adults are affected by CFS, with women four times more likely to develop chronic fatigue syndrome.
Chronic fatigue syndrome differs from being tired by these major symptoms of chronic fatigue:
- Being too tired to engage in normal activities
- Symptoms that get worse (dizziness, mental fog, sleep problems, headaches, severe exhaustion, etc.)
- Symptoms that occur while sitting or standing
- Memory and cognition issues
Medical science currently doesn’t fully understand the causes of CFS. There can often be multiple causes, with one or more issues triggering chronic fatigue syndrome. CFS often runs in families and may be genetic.
There is currently no cure for chronic fatigue syndrome, only condition management. Some treatments for chronic fatigue syndrome include vitamin supplements, improving gut biome, lifestyle adjustments, stress management, and others.
ELEVATE YOUR ENERGY LEVELS

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